Individual provider Active NPI

Renee Ann Williams, LMFT, LPCC

  • Marriage & Family Therapist
  • Roseville, CA
National Provider Identifier
1679167845
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
124536 Issued in CA
Practice address
1544 Eureka Rd Ste 280
Roseville, CA 95661-3093
Phone
(916) 865-6833
Fax
(480) 542-5456
NPI assigned
Feb 26, 2021
Reactivated
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 124536 CA Primary
Marriage & Family Therapist 106H00000X 8572 ID
Marriage & Family Therapist 106H00000X 15738 AZ

Addresses

Primary practice location

1544 Eureka Rd Ste 280
Roseville, CA 95661-3093

Mailing address

1119 S Mission Rd # 345
Fallbrook, CA 92028-3225
Phone (916) 865-6833

Other practice location 1

9929 N 95th St Ste 101
Scottsdale, AZ 85258-4592
Phone (916) 865-6833

Other practice location 2

15810 Los Gatos Blvd
Los Gatos, CA 95032-3315
Phone (916) 865-6833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 4, 2024 through Mar 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15738AZMDMarriage & Family Therapist
124536CAMDMarriage & Family Therapist
8572IDMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Renee Ann Williams a Marriage and Family Therapy Professional Corp Marriage & Family Therapist CurrentSince Sep 1, 2021 Accepting new patients

Locations

9590 E Ironwood Square Dr
Ste 220
Scottsdale, AZ 85258
Phone (480) 509-7737

9929 N 95th St
Ste 101
Scottsdale, AZ 85258
Phone (480) 234-8667

15810 Los Gatos Blvd
Los Gatos, CA 95032
Phone (408) 354-5071

720 Sunrise Ave
Ste 212D
Roseville, CA 95661
Phone (916) 202-3992

2200 Douglas Blvd
Ste 140
Roseville, CA 95661
Phone (530) 645-2216

1544 Eureka Rd
Ste 280
Roseville, CA 95661
Phone (480) 217-8201

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1679167845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 S MISSION RD # 345",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283225",
            "telephone_number": "916-865-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 EUREKA RD STE 280",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613093",
            "telephone_number": "916-865-6833",
            "fax_number": "480-542-5456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9929 N 95th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584592",
            "country_code": "US",
            "telephone_number": "916-865-6833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15810 Los Gatos Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950323315",
            "country_code": "US",
            "telephone_number": "916-865-6833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RENEE",
        "middle_name": "ANN",
        "credential": "LMFT, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "deactivation_date": "2021-03-24",
        "reactivation_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124536",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "8572",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "15738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.